The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong SAR.
Department of Medicine, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong SAR.
Rehabil Nurs. 2020 May/Jun;45(3):122-130. doi: 10.1097/rnj.0000000000000179.
Parkinson's disease (PD) results in a range of dysfunctions and disabilities as it progresses to later stages. All these not only affect a patient's physical well-being but also emotional, social, and spiritual well-being. To tailor interventions that can address these concerns, this study aimed to examine the impacts of PD on their health-related quality of life (HRQOL).
A cross-sectional study with 123 PD patients.
Measures included the following: Hospital Anxiety and Depression Scale, Unified PD Rating Scale-Motor Examination, Hoehn and Yahr Stage, PD Questionnaire-8. Associating factors of HRQOL was examined using stepwise linear regression.
Psychological distress and functional impairment are significantly associated with the HRQOL of the PD population. Psychological distress is associated most to the variance of HRQOL (42.4%).
Considering that PD is chronic, rehabilitation programs should be applied to address not just functional but also psychosocial needs of PD patients.
Early recognition and management of psychological distress in PD patients is indispensable to promote their HRQOL.
随着帕金森病(PD)进入后期阶段,会导致一系列功能障碍和残疾。这些不仅会影响患者的身体健康,还会影响他们的情感、社会和精神健康。为了定制可以解决这些问题的干预措施,本研究旨在探讨 PD 对其健康相关生活质量(HRQOL)的影响。
一项横断面研究,纳入了 123 名 PD 患者。
采用的评估工具包括:医院焦虑和抑郁量表、统一 PD 评定量表-运动检查、Hoehn 和 Yahr 分期、PD 问卷-8。采用逐步线性回归分析 HRQOL 的相关因素。
心理困扰和功能障碍与 PD 人群的 HRQOL 显著相关。心理困扰与 HRQOL 的差异相关性最大(42.4%)。
鉴于 PD 是一种慢性疾病,康复计划不仅应针对功能障碍,还应针对 PD 患者的心理社会需求。
早期识别和管理 PD 患者的心理困扰对于提高其 HRQOL 至关重要。